| NPI | 1194107292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090466) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101118) |
| 104100000X Social Worker (Licence: NY 092088) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-04-15 |